Amoebic liver abscess
50 yr old male came with complaints of diffuse abdominal pain, fever, bloody diarrhoea. He is a known alcoholic and smoker for the past 30 years. O/E Pulse 136 , Temp 39.9° c, no organomegaly, right quadrant abdominal pain was noted. Lab investigations: WBC 25,800 cells/ mm^ 3, Total protein: 7.4 g/ dl , Albumin 2.8 g/ dl , Total bilirubin : 0.6 mg/ dl , ALT: 139 IU/dl, AST: 73 IU/ DL, ALP: 81 IU/DL.